空气波压力治疗预防乳腺癌根治术后患侧上肢水肿的效果观察  

Effect of Air Wave Pressure Therapy on Prevention of Upper Limb Edema of Breast Cancer Patients after Mastectomy

作　　者：卜彩菊 庞永慧[1] 何英煜[1] 莫钦国[1] 茅传兰[1] 谭虹虹[1] 韦瑜群 

机构地区：[1]广西医科大学附属肿瘤医院乳腺科,广西南宁530021

出　　处：《护理学报》2015年第23期13-16,共4页Journal of Nursing（China）

基　　金：广西壮族自治区高等学校科学研究立项项目课题(KY2015LX054);广西壮族自治区卫生厅立项科研课题(Z2008236)

摘　　要：目的探讨空气波压力治疗联合全程功能锻炼预防乳腺癌根治术后患侧上肢水肿的应用效果。方法选择乳腺癌根治术患者共120例,采用随机数字表法随机分为2组,每组60例。全程功能锻炼组给予全程功能锻炼;空气波压力治疗联合全程功能锻炼组在全程功能锻炼的基础上给予空气波压力治疗。分别测量2组患者健侧与患侧上肢各部位周径,比较2组患者术后第14天、第30天患侧上肢水肿发生情况。结果 2组患者术后第14天水肿发生率均为0。2组患者术后第30天水肿发生情况比较差异有统计学意义(P<0.05):全程功能锻炼组水肿发生率为13%,空气波压力治疗联合全程功能锻炼组水肿发生率为2%。结论空气波压力治疗联合全程功能锻炼能有效降低水肿发生率。Objective To explore the effect of air wave pressure therapy combined with full function exercise on the prevention of upper limb edema for patients with breast cancer after mastectomy. Methods A total of 120 breast cancer patients after radical mastectomy were randomly divided into group A（functional exercise group） and Group B（air wave pressure therapy combined with functional exercise group） with 60 cases in each group. Patients in group A had fully functional exercise, and those in group B were treated with air wave pressure therapy on the basis of functional exercise. Healthy side and affected side of the upper limb were measured in two groups respectively and the incidence of lateral upper limb edema in two groups were compared14 d and 30 d after operation. Results There was no edema in two groups 14 d after surgery and there were significant differences in the incidence of postoperative edema after 30 d in two groups（P〈0.05）. The incidence of edema in group A was 13%, and that in group B 2%.Conclusion Air wave pressure therapy combined with fully functional exercise can effectively reduce the incidence of edema after mastectomy.

关 键 词：乳腺癌根治术后 患侧上肢水肿 空气波压力治疗 全程功能锻炼 

分 类 号：R473.73[医药卫生—护理学]